Provider Demographics
NPI:1013882604
Name:PLAY ZONE THERAPY LLC
Entity type:Organization
Organization Name:PLAY ZONE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JANNINA
Authorized Official - Middle Name:AYMEE
Authorized Official - Last Name:JIRAU
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:787-246-9920
Mailing Address - Street 1:HC 5 BOX 7365
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669
Mailing Address - Country:US
Mailing Address - Phone:787-925-9829
Mailing Address - Fax:
Practice Address - Street 1:CARR 445 KM 0.1 BARRIO GUATEMALA
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-925-9829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty